Organization
FAYETTEVILLE VAMC
Active
Organization
FAYETTEVILLE VAMC
Active
Other names
WILMINGTON NC VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1705 GARDNER ROAD, WILMINGTON, NC 28405-8873
(910) 343-5339
(910) 822-7083
Mailing address
PO BOX 89494, CLEVELAND, OH 44101-6494
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3461403
NCPDP
—
Enumeration date
02/04/2013
Last updated
10/28/2024
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